Laserfiche WebLink
P�MIT APPLICATIO�i <br /> � CITY OF EVERETT PERMIT SERVICES <br /> �"' 320D CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810- FAX 425-257-8857 <br /> SITE ADORESS PARCEL TAX I.D.• PE i7 M <br /> Oy o ' - - <br /> LE lOTNO. BLOCK TRACT <br /> DESC. <br /> OWNER ADDRESS DV PHONE(y� y8�_�2�0 <br /> I�ZTA /`�ona�nE� �1'90D {dN� .�E NC i.�onomviu.r- L�q yC0i2 <br /> TENANTNAME I CONTACTNAME PHONE I <br /> IZaar'S V�,�c,_�'P�.�wu ��rr- c�-" �Esc (��6r+ro�1 lyzs�ye� •szoo <br /> CONTRACTOR ADORE3$ DP �CQNTR.LICENSEN <br /> Cjles�A '�++s'1w.�c'.s►� �• 199oU �v�/�-' qve r/c c�p�-2 Sk�l¢c.C145 N8 <br /> PHONE (NOj�D/NV/(,l.E � G��4 <br /> 2 • <br /> � PpOPOSED USE OF BUILDING I{4ry,� Building f'"1 Mechenical AdCition HEAT SOURCE <br /> VERMI7 �..( Combination 4_� Plumbing WORK A�teration R Eleciric <br /> TVPE �.] Demolition LJ Sign TYPE New �,.j Gas <br /> U Sprinkler Repair/Mainl. U Other <br /> CONTRACT PRICE OF WORK � 2��/, �q .� CITV OF EVERETT LOCAL SAIES TA%CODE IS 3105 <br /> L 4V <br /> WORK DESCRIPTION � ��r� (1 w,q•f„��S /K D/�/Lfs /�lNA • AT� Z �bw ����T <br /> • /�/tiN N•4�Nr S C�ePcfi <br /> • �vD 3 Nt�v �,-s,aao.Hs <br /> • h�,o Ar� <br /> i PLUMBI G MECHANICAL / <br /> NO. TVPE OF FlXTURE OR REM N � NO. TVPE OF flXTURE OR ITEM � A <br /> or-� i <br /> �, WATER CLOSET A/C—A/HANDLING UNITS <br /> BATHTUB � FORCED AIR SYSTEMS <br /> I _ LAVATORY(WASH BASIN) _ HEAT PUMP <br /> SHOWER UNIT fi�ATERS <br /> KITCHEN SINK 8 DtSPOSAL CIOTHES DRYER <br /> I = DISHWASHER = HANGE HOOD <br /> LAUNORY TRAY WATER HEATER <br /> CLOTHES WASHER METAL FIREPLACE/STOVE <br /> URINAL FIREPLACE INSE�iT <br /> DRINKING FOUNTAW � . _ OAS FIREPLACt <br /> ' F�OOR DRAIN _ GAS RANGE <br /> . BACKFLOW PfiEVENTER _ GAS PIPING <br /> � SINK(SERVICE/BAfl/MOP/ETC.) � EXHAUS7 FAN <br /> � OTHER _ OTHER <br /> , <br /> t HEREBY CERITIFV THAT I MAVE READ AND EXAMINED THIS APP�ICATION ANO KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br /> PROVISIONS OF LAWS AND ORIDINACES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROV�SION OF ANY OTH�R <br /> STATE OR LOCAL LAW REGUL4TING CONSTRUCTION OR THE PERFORMANCE OF CONSTFUCTION. TMAT I AM AUTFIORRED BV THE <br /> OWNEF OF THIS PRO RTV TO PEHfORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW RCW AND 298.200 WAC. <br /> Si a o wned ontr ct NAulhorized gent at Z /L <br />